Provider Demographics
NPI:1265291470
Name:KEYS OF EMPOWERMENT COUNSELING LLC
Entity type:Organization
Organization Name:KEYS OF EMPOWERMENT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RAPHAEL
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:TRAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:313-623-9112
Mailing Address - Street 1:47637 BURLINGAME DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-6028
Mailing Address - Country:US
Mailing Address - Phone:313-623-9112
Mailing Address - Fax:
Practice Address - Street 1:17403 WOODINGHAM DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-4505
Practice Address - Country:US
Practice Address - Phone:586-261-3462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty